PCU/Telemetry Registered Nurse
Dededo, GU
Access Healthcare
4x12 hrs, Rotating

Registered Nurse – PCU/Telemetry

Location: Dededo, Guam
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

• Position is for a Progressive Care Unit (PCU) / Telemetry Registered Nurse.
• The unit is technically a telemetry unit but the level of care is PCU.
• Patient ratios typically 1:4-5.
• Care includes routine, uncomplicated cardiac procedures and nonurgent percutaneous coronary interventions with complications.
• May float within scope to Med-Surg and Emergency Department Tele overflow as needed; no ICU care outside scope.
• Weekend requirement: every other weekend, flexible to support facility needs.
• Holidays are required; specific dates determined by unit needs, no holiday work preferences allowed.
• Shift: Primarily one shift (day or night), no shift preference requests; 4x12 hour shifts (day: 7:00 AM–7:00 PM, night: 7:00 PM–7:00 AM).
• Overtime is at management discretion and not guaranteed.
• Travelers must be prepared to pick up additional shifts due to census fluctuations.
• Local candidates residing in Guam will not be considered.
• Passport in hand is required for this position.
• Flights are not reimbursed; travelers should plan accordingly.
• Travelers should arrive by the Thursday before the start date due to long travel times and time zone differences.

Required Qualifications

• Experience: Minimum 2 years of RN experience required; 3-5 years preferred.
• Travel Experience: First-time travelers are NOT accepted.
• Licensure: Must have Compact or Guam RN license in hand at time of application; pending licenses are not accepted.
• Certifications:

  • ACLS (American Heart Association provider card, digital certificate required)
  • BLS (American Heart Association provider card, digital certificate required)
• Must complete facility-specific trainings and certifications prior to or during orientation (see Facility Specific Requirements).
• Must pass onsite drug calculation and Basic Knowledge Assessment Tool (BKAT) exams during orientation (80% passing score, two attempts allowed).
• Must be willing to float within scope to other units as needed.

Facility Specific Requirements & Training

• Completion of nursing modules (~8-12 hours) including:

  • Pressure Injury Training
  • NIH Stroke Scale Training (NIHSS)
  • Alaris IV Pumps
  • Pyxis CareFusion
• Additional certifications may be required depending on unit assignment (e.g., Conscious Sedation for ER, ICU, Cath Lab).
• Fit testing for N95 masks required within 1 year prior to start; facility has limited PAPR availability.
• Drug calculations and BKAT exams administered onsite during orientation.
• Facility requires completion of a 7-year background check including criminal and international searches if applicable.
• Physical exam not required by facility but must be collected per agency policy.
• Negative TB test or chest X-ray within 1 year prior to start; annual TB questionnaire if past positive.
• Immunization requirements:

  • Measles (Rubeola), Mumps, Rubella: Proof of immunity or vaccination required.
  • Hepatitis B: Immune titer or full vaccine series required.
  • Varicella: Positive titer or proof of vaccination required.
  • Flu vaccine mandatory during flu season (Sept 1 – June 30); medical exemptions considered with facility-specific form.
  • COVID-19 vaccination strongly preferred; declinations require facility-specific waiver.
• Drug screen: 9-panel instant drug screen within 30 days of start; not required annually but must be current.
• Must provide 2 professional references from travel, allied, or per diem acute care within last 3 years.
• Work history verification for last 10 years required.

Scheduling & Time Off

• Contracted hours guaranteed; client may cancel up to 3 shifts during the 13-week assignment.
• Request time off (RTO) must be approved and included in contract prior to start.
• Maximum RTO allowed: 3 consecutive days per 2 weeks, up to 7 total days during contract.
• No on-call requirement.

Additional Notes

• Charting system used: Allscripts/Sunrise.
• Parking is free for travelers with registration and decal.
• Scrub color: Navy blue preferred; any solid color acceptable for most areas.
• Facility is an Adult Trauma Level II acute care hospital with 132 staffed beds.
• Travelers must be flexible and prepared for unit needs and census changes.

This position is ideal for experienced PCU/Telemetry RNs with prior travel contract experience who are ready to work in a dynamic acute care environment in Guam.